BAYSTATE HEALTH INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BAYSTATE HEALTH INC (EIN 04-2105941)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-09
IRS object ID
201822219349300972
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-09T13:11:27-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1Two Jericho PlazaAddressLine1Txt
CityJerichoCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11753ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042105941EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Baystate Health IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBAYSBusinessNameControlTxt
Phone4137940000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01199ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDennis W ChalkePersonNm
Person TitleSVP Finance, CFO & TreasurerPersonTitleTxt
Phone4137940000PhoneNum
Signature2018-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonChristine KaweckiPreparerPersonNm
PTINP00743140PTIN
Phone5169187000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDennis W ChalkePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01199ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$56,589,223GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.baystatehealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionThe mission of the organization is to improve the health of people in our communities every day, with quality and compassion.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI-$141,808TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$433,675NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,427,115PYContributionsGrantsAmt
CY Contributions Grants$11,468,715CYContributionsGrantsAmt
PY Program Service Revenue$3,442,489PYProgramServiceRevenueAmt
CY Program Service Revenue$2,034,414CYProgramServiceRevenueAmt
PY Investment Income$2,259,218PYInvestmentIncomeAmt
CY Investment Income$2,651,414CYInvestmentIncomeAmt
PY Other Revenue$2,157,030PYOtherRevenueAmt
CY Other Revenue$73,524CYOtherRevenueAmt
PY Total Revenue$19,285,852PYTotalRevenueAmt
CY Total Revenue$16,228,067CYTotalRevenueAmt
PY Grants And Similar Paid$664,289PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$430,626CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,167,944PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,533,208CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$21,353,490PYOtherExpensesAmt
CY Other Expenses$25,545,716CYOtherExpensesAmt
PY Total Expenses$23,185,723PYTotalExpensesAmt
CY Total Expenses$27,509,550CYTotalExpensesAmt
PY Revenues Less Expenses-$3,899,871PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$11,281,483CYRevenuesLessExpensesAmt
Total Assets BOY$306,469,723TotalAssetsBOYAmt
Total Assets EOY$238,995,907TotalAssetsEOYAmt
Total Liabilities BOY$197,147,445TotalLiabilitiesBOYAmt
Total Liabilities EOY$132,902,485TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$109,322,278NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$106,093,422NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of the organization is to improve the health of the people in our communities every day, with quality and compassion.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$17,713,082ExpenseAmt
Grant$430,626GrantAmt
Revenue$2,182,000RevenueAmt
DescBaystate Health, Inc. (Baystate Health or BH) based in Springfield, Massachusetts is the parent corporation of an integrated health care delivery system with the mission "to improve the health of the people in our community every day, with quality and compassion." BH provides funding for strategic initiatives, as necessary, funding for research & education initiatives and support of community health, development, and outreach activities, mostly funded by BH board-designated funds. Partners for a Healthier Community is the primary recipient of BH support.Baystate Health currently includes the following:Baystate Medical Center (BMC) located in Springfield, Massachusetts, is the largest of the four hospitals in the Baystate Health system. BMC, the leading health facility in western Massachusetts is the only tertiary care referral medical center and Level I trauma center in the region. It is also home to western New England's only neonatal and pediatric intensive care units. BMC is a 718-bed, tax exempt, not-for-profit, academic teaching hospital.Baystate Franklin Medical Center (BFMC) located in Greenfield, Massachusetts, is a 89-bed, tax exempt, not-for-profit, acute care community hospital. BFMC serves the northern tier of northwestern Massachusetts and southern Vermont.Baystate Wing Hospital Corporation (BWH), located in Palmer, Massachusetts, is a 74-bed, tax-exempt, not-for-profit, acute care community hospital acquired in 2014.Baystate Total Home Care, Inc. (BTHC), located in Springfield, Massachusetts, was a tax exempt, not-for-profit corporation organized to benefit, support and further the charitable activities of BMC by holding, leasing, improving and managing real estate held by, or acquired on behalf of, BMC. BTHC served as the operating entity in connection with the new markets tax credit (NMTC) financing for the BMC Expansion Project.Baystate Noble Hospital, Inc. and affiliates consists of three tax-exempt, not-for-profit corporations located in Westfield, Massachusetts, acquired in 2015: Baystate Noble Hospital, Inc. (BNH) is a 97-bed tax-exempt, not-for- profit acute care community hospital. BNH provides inpatient, outpatient and emergency care services for residents in the greater Westfield community. BNH is the sole corporate member of the two following organizations: Westfield Medical Corporation (WMC) is a tax-exempt, not-for-profit physician practice that provides medical services to residents of the greater Westfield community. Noble Visiting Nurse Services, Inc. (NVNS) is a tax-exempt,not-for-profit community-based home health care agency, whose primary purpose is to provide home health care services and promote and maintain community health to the city of Westfield and surrounding communities.Baystate Medical Practices, Inc.(BMP)is a multi-specialty academic group practice established as a tax exempt, not-for-profit organization to support the educational and research programs of Baystate Health as well as numerous community primary care and outreach services.Visiting Nurse Association and Hospice of Western New England, Inc. (VNAH) is a tax exempt, not-for-profit organization that provides comprehensive home health care committed to providing the highest quality care to patients and families, primarily in the home setting. BVNAH meets individual needs by bringing experienced nurses, rehabilitation therapists, social workers, and home care aides to patients' homes. Health New England, Inc. (HNE) is a health maintenance organization that converted from a taxable for profit corporation to a non-profit corporation as of January 1, 2013. It is located in Springfield, Massachusetts. HNE's service area in Massachusetts includes Franklin, Berkshire, Hampden and Hampshire counties and part of Worcester county. HNE also serves Hartford, Litchfield and Tolland counties in Connecticut.Ingraham Corporation (IC) is a for-profit, taxable corporation that served as a holding company for Baystate Health Ambulance, Inc.Baystate Administrative Services, Inc. (BAS) is a tax exempt, not-for-profit corporation that provides management support for the BH subsidiaries, including human resources, marketing, strategic planning, information services and financial services.Baystate Health Foundation, Inc. (BHF) is a tax exempt, charitable organization established for the purpose of fund-raising for healthcare related activities, in support, and for the benefit, of BH and those subsidiaries of BH that are tax exempt, not-for-profit corporations, and to hold endowment, charitable donations, and other funds for their benefit.Baystate Health Insurance Company, Ltd. (BHIC) is a captive insurance company organized and licensed in the Cayman Islands, British West Indies. BHIC provides professional liability and other insurance coverage to BH and its corporate affiliates and their employees. In 2004, BHIC began offering malpractice insurance to members of BH's medical staff who meet criteria for participation.Desc
Total Program Service Expenses$17,713,082TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryUKForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPeter Lyons Baystate Health IncPersonNm
Phone4137940000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP011990001ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Mark A Keroack MD
President, CEO & Trustee38.0012.00Yes (X)Yes (X)$0$2,182,220$38,487
Anne M Paradis
Chair (As of 1/1/17)2.001.00Yes (X)Yes (X)$0$0$0
John F Maybury
Vice Chair (As of 1/1/17)1.001.00Yes (X)Yes (X)$0$0$0
Adrian J Levsky
Trustee1.001.00Yes (X)$0$0$0
Claudia R Coplein DO
Trustee (As of 1/1/17)1.001.00Yes (X)$0$0$0
Colleen W Holmes
Trustee (As of 1/1/17)1.001.00Yes (X)$0$0$0
David C Southworth
Trustee (Through 12/31/16)1.001.00Yes (X)$0$0$0
Edward J Noonan
Trustee1.001.00Yes (X)$0$0$0
Grace Makari-Judson MD
Trustee/ Hematologist1.0040.00Yes (X)$347,988$0$78,646
Gregory L Braden MD
Trustee1.001.00Yes (X)$0$0$0
Harriet A DeVerry
Trustee1.001.00Yes (X)$0$0$0
Hector Toledo
Trustee1.001.00Yes (X)$0$0$0
James P Sadowsky
Trustee2.001.00Yes (X)$0$0$0
James R Phaneuf
Trustee1.001.00Yes (X)$0$0$0
John A Egelhofer MD
Trustee1.001.00Yes (X)$0$0$0
John H Davis
Trustee1.001.00Yes (X)$0$0$0
Kathleen B Scoble
Trustee1.001.00Yes (X)$0$0$0
Kevin P Moriarty MD
Trustee/ Chief Ped Surgery1.0040.00Yes (X)$699,348$0$45,950
Paul R Murphy
Trustee1.001.00Yes (X)$0$0$0
Robert J Bacon
Trustee1.001.00Yes (X)$0$0$0
Robert L Pura PhD
Trustee1.001.00Yes (X)$0$0$0
Steven M Mitus
Trustee (Through 12/31/16)1.001.00Yes (X)$0$0$0
Timothy F Farrell
Trustee (As of 1/1/17)1.001.00Yes (X)$0$0$0
Victor Woolridge
Trustee1.001.00Yes (X)$0$0$0
William R Webber
Trustee1.001.00Yes (X)$0$0$0
Dennis Chalke
Treasurer1.0050.00Yes (X)$0$935,201$89,071
Kristin R Delaney
Clerk39.001.00Yes (X)$0$137,437$37,010
Madeline Torres
Assistant Clerk1.0040.00Yes (X)$0$56,586$13,801
Mark R Tolosky
President Emeritus0.000.00$0$136,771$5,559Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,047,336TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,448,215TotReportableCompRltdOrgAmt
Total Other Compensation$308,524TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Baystate Administrative Services Inc
759 Chestnut StreetSpringfieldMA011990001Management Services$1,922,187
Premier Inc
13034 Ballantyne Corporate PlaceCharlotteNC28277IT Services$730,574
Kaufman Hall & Associates LLC
8610 Solution CenterChicagoIL60677Consulting Services$714,042
Cronin and Company
50 Nye RoadGlastonburyCT06033Marketing Services$449,668
Adams Nash Haskell & Sheridan Inc
7310 Turfway Road Suite 550FlorenceKY41042Consulting Services$311,179
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$11,263,000RelatedOrganizationsAmt
All Other Contributions$205,715AllOtherContributionsAmt
Total Contributions$11,468,715TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Premier Purchasing Partners, L.P.525990$1,391,580$1,391,580
Misc (incl CPIP admin revenue)524298$439,178$134,178$305,000
Medical Staff Dues524298$379,045$379,045
Intercompany Rent531120$277,197$277,197
Ins and Prship UBI525990-$452,586-$452,586
FieldValueIRS element (for citing)
Total Program Service Revenue$2,034,414TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,382,741TotalRevenueColumnAmt
Unrelated Business Revenue$5,778UnrelatedBusinessRevenueAmt
Exclusion$1,376,963ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,069TotalRevenueColumnAmt
Exclusion$2,069ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$41,629,829SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$40,361,156SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,268,673SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,268,673TotalRevenueColumnAmt
Exclusion$1,268,673ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Loomis loan principal recovery561499$55,749$55,749
investment firm payment / tax adj523000$15,706$15,706
FieldValueIRS element (for citing)
Other Revenue Total$71,455OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,228,067TotalRevenueColumnAmt
Related Or Exempt Func Income$2,182,000RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$141,808UnrelatedBusinessRevenueAmt
Exclusion$2,719,160ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$430,626TotalAmt
Program Services$430,626ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,533,208TotalAmt
Program Services$1,533,208ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$182,007TotalAmt
Management And General$182,007ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,120TotalAmt
Management And General$38,120ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$275,000TotalAmt
Program Services$275,000ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$73,903TotalAmt
Management And General$73,903ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,019,578TotalAmt
Program Services$1,970,419ProgramServicesAmt
Management And General$49,159ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$64,503TotalAmt
Program Services$64,503ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$64,575TotalAmt
Management And General$64,575ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,069TotalAmt
Program Services$8,245ProgramServicesAmt
Management And General$1,824ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,137TotalAmt
Program Services$32,137ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$60,059TotalAmt
Program Services$36,028ProgramServicesAmt
Management And General$24,031ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$812,082TotalAmt
Management And General$812,082ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$2,372,160TotalAmt
Program Services$1,325,564ProgramServicesAmt
Management And General$1,046,596ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,782TotalAmt
Program Services$2,782ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,524TotalAmt
Management And General$30,524ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STRATEGIC INITIATIVES$11,224,054$11,224,054
457b PENSION PLAN EXP$6,538,422$6,538,422
RESEARCH INITIATIVES$421,172$421,172
INCOME TAX PROVISION$373,529$373,529

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$951,040TotalAmt
Program Services$389,344ProgramServicesAmt
Management And General$561,696ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,509,550TotalAmt
Program Services$17,713,082ProgramServicesAmt
Management And General$9,796,468ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$30,222,098BOYAmt
EOY$25,293,599EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$316,684BOYAmt
EOY$344,799EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$27,900BOYAmt
EOY$306,237EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$339,422LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$264,558LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,983,443BOYAmt
EOY$74,864EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,421,379BOYAmt
EOY$16,384,722EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$54,656,739BOYAmt
EOY$66,330,502EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,132,000BOYAmt
EOY$4,132,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$200,709,480BOYAmt
EOY$126,129,184EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$306,469,723BOYAmt
EOY$238,995,907EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,474,757BOYAmt
EOY$1,958,355EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$305,000BOYAmt
EOY$305,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$54,261,101BOYAmt
EOY$50,021,101EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,106,587BOYAmt
EOY$80,618,029EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$197,147,445BOYAmt
EOY$132,902,485EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$81,083,109BOYAmt
EOY$76,214,352EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,234,000BOYAmt
EOY$5,234,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,005,169BOYAmt
EOY$24,645,071EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$109,322,278BOYAmt
EOY$106,093,422EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$306,469,723BOYAmt
EOY$238,995,907EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$11,281,483ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,516,695NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$535,932OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,536,957CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,882,171CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,809,195CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,427,115CurrentTaxYearMinus1YearAmt
Current Tax Year$11,468,715CurrentTaxYearAmt
Total$53,124,153TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,536,957CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,882,171CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,809,195CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,427,115CurrentTaxYearMinus1YearAmt
Current Tax Year$11,468,715CurrentTaxYearAmt
Total$53,124,153TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$53,124,153PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$987,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,035,551CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,073,789CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$992,385CurrentTaxYearMinus1YearAmt
Current Tax Year$1,384,810CurrentTaxYearAmt
Total$5,474,192TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$833,280CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$760,524CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,312,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,033,540CurrentTaxYearMinus1YearAmt
Current Tax Year-$433,675CurrentTaxYearAmt
Total$3,506,621TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$917,939CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$904,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$921,681CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$955,072CurrentTaxYearMinus1YearAmt
Current Tax Year$71,455CurrentTaxYearAmt
Total$3,771,059TotalAmt
FieldValueIRS element (for citing)
Total Support$65,876,025TotalSupportAmt
Gross Receipts Rltd Activities$20,028,056GrossReceiptsRltdActivitiesAmt
Public Support CY1700.80640PublicSupportCY170Pct
Public Support PY1700.77670PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$275,000OtherActivitiesAmt
Total Lobbying Expenditures$275,000TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationBH paid Rauschenbach Associates for lobbying activities related to healthcare policy, bills and appropriations-related activities. BH paid HospitalMax Associates, Inc., Philip W. Johnston Associates and Lisa Andoscia (Rosewood Consulting) for technical and strategic advisory services including public advocacy and interpretation of proposed and actual program and legislative changes. BH paid Coalition to Protect America's Health Care for healthcare industry lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,873,475BeginningYearBalanceAmt
Contributions$93,080ContributionsAmt
Investment Earnings Or Losses$1,373,655InvestmentEarningsOrLossesAmt
End Year Balance$21,340,210EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,868,167BeginningYearBalanceAmt
Contributions$98,310ContributionsAmt
Investment Earnings Or Losses$906,998InvestmentEarningsOrLossesAmt
End Year Balance$19,873,475EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,376,609BeginningYearBalanceAmt
Contributions$103,225ContributionsAmt
Investment Earnings Or Losses-$1,611,667InvestmentEarningsOrLossesAmt
End Year Balance$18,868,167EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,758,115BeginningYearBalanceAmt
Contributions$100,868ContributionsAmt
Investment Earnings Or Losses$517,626InvestmentEarningsOrLossesAmt
End Year Balance$20,376,609EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,718,148BeginningYearBalanceAmt
Contributions$170,271ContributionsAmt
Investment Earnings Or Losses$869,696InvestmentEarningsOrLossesAmt
End Year Balance$19,758,115EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,124OtherCostOrOtherBasisAmt
Book Value$59,124BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$233,233OtherCostOrOtherBasisAmt
Depreciation$229,634DepreciationAmt
Book Value$3,599BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,589OtherCostOrOtherBasisAmt
Depreciation$13,425DepreciationAmt
Book Value$5,164BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,499OtherCostOrOtherBasisAmt
Depreciation$21,499DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,977OtherCostOrOtherBasisAmt
Book Value$6,977BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$74,864TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInvestments - Other SecuritiesDesc
Book Value$66,330,502BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$66,330,502TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Due from Affiliated Companies$2,181,274
Equity Investment in Subsidiaries (Ingraham, Wing and Noble)$48,239,174
Line of Credit -- Affiliate - current$14,623,347
Line of Credit -- Affiliate - long term$20,000,000
Interest in Net Assets in BHF$23,421,304
Deferred Expenses$17,664,085
FieldValueIRS element (for citing)
Total Book Value Other Assets$126,129,184TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Due to Affiliated Companies$3,944,937
Due to Board-Designated Funds$1,089,206
Insurance Reserves$16,741,632
Deferred Compensation Obligations$58,272,208
negative equity investment in Baycare (for profit sub)$570,046
FieldValueIRS element (for citing)
Total Liability$80,618,029TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4FormAndLineReferenceDesc
ExplanationEndowment assets are to provide funding to support programs that further Baystate Health's mission.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Caribbean00Insurance$20,136,348
United Kingdom00Investments$21,401,018
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$41,537,366SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$41,537,366TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationExpenditures of $20,136,348 in the Caribbean are comprised of insurance related cash transfers of $20,016,348 and Baystate Health's book value of the $120,000 BHIC investment. Baystate Health's capital balance of an investment fund domiciled in the UK is $21,401,018.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Partners for a Healthier Community Inc
PO Box 4895SpringfieldMA011014895043342182501(c)(3)$250,000To assist Partners for a Healthier Community to narrow the gap in health disparities for some of Springfield's most vulnerable citizens, and to be a source of support for building civic leaders, creating strategies for change, and promoting policy actions to create healthier communities.
Baystate Health Foundation Inc
759 Chestnut StreetSpringfieldMA01199043549011501(c)(3)$65,000To provide support for the Health Science Library and Medical Staff Pledge.
Develop Springfield
83 Maple StreetSpringfieldMA01105263862976501(c)(3)$30,000To promote development and redevelopment projects that stimulate and support economic growth and expedite City of Springfield revitalization.
United Way of Franklin County Inc
51 Davis Street Suite 2GreenfieldMA01301042212894501(c)(3)$20,000The United Way of Franklin County, Inc. improves the quality of life in Franklin County through various programs, strengthening communities and advancing the common good.
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II, line 1, Column (h):FormAndLineReferenceDesc
ExplanationBaystate Health, Inc. has a close relationship with its grantees, which include Baystate Health Foundation (BHF). Through this close relationship, management is able to ensure the granted money is used for the intended purposes. For BHF, funds are accounted for and monitored in individual temporarily restricted purpose funds in accordance with the restrictions. Fund administrators of the related entity are assigned responsibility to assure that the fund purpose is met before releasing from restrictions.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark A Keroack MD
President, CEO & Trustee$0$876,848$0$401,474$0$903,898$0$19,875$0$18,612$0$2,220,707$0$562,123
Grace Makari-Judson MD
Trustee/ Hematologist$275,652$0$50,668$0$21,668$0$60,173$0$18,473$0$426,634$0$0$0
Kevin P Moriarty MD
Trustee/ Chief Ped Surgery$537,664$0$124,279$0$37,405$0$26,500$0$19,450$0$745,298$0$0$0
Dennis Chalke
Treasurer$0$489,983$0$162,064$0$283,154$0$63,576$0$25,495$0$1,024,272$0$0
Kristin R Delaney
Clerk$0$122,188$0$14,668$0$581$0$18,742$0$18,268$0$174,447$0$0
Mark R Tolosky
President Emeritus$0$136,771$0$0$0$0$0$5,559$0$0$0$142,330$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The compensation of the President and CEO is reviewed and determined annually by the compensation committee of Baystate Health, Inc. This committee consists entirely of individuals serving on the board of the filing organization. The individuals responsible for deliberating the compensation arrangement for the President and CEO would be those individuals who do not have a conflict of interest with respect to the compensation arrangement and would be considered independent for compensation deliberation purposes. The compensation of the President and CEO is established based on information provided by independent third party consultants for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the duly authorized compensation committee of Baystate Health, Inc. and all such deliberations and decisions are documented contemporaneously.
Part I, Lines 4a-bDennis W. Chalke - Supplemental Retirement of $257,706 is included in column E. This amount was earned and paid in 2016. Mark A. Keroack, MD - Total Supplemental Retirement of $881,458 is included in column E. This amount consists of $264,321 earned and paid in 2016 and $562,123 that was previously reported as deferred compensation in prior years Forms 990, and that is currently reported as taxable income. This also includes $55,014 of investment earnings on prior year contributions. The amount is listed in Column F in accordance with reporting requirements. Grace Makari-Judson, MD- Supplemental Retirement of $16,599 is included in column E. This amount was earned in 2016. Kevin P. Moriarty, MD - Supplemental Retirement of $33,542 is included in column E. This amount was earned and paid in 2016.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1The filing organization has a standing executive committee, which is entitled to act between meetings of the Board, on all matters as to which the Board is entitled to act and permitted by law to delegate to a committee.
Form 990, Part VI, Section A, line 2Two or more of the persons listed in this Form 990 Part VII have a business relationship with each other by virtue of sitting on one or more Boards of Directors or by serving in an employment relationship with one or more entities in the Baystate Group of affiliated entities and in the community. The following trustees, officers, or key employees have a business relationship: (1) Grace P. Makari-Judson, MD, James P. Sadowsky and John H. Davis (2) Paul R. Murphy and Robert L. Pura, PhD, (3) John F. Maybury and Mark A. Keroack, MD, (4) Claudia R. Coplein, DO and Victor Woolridge (5) John F. Maybury and Anne M. Paradis.
Form 990, Part VI, Section A, line 3Baystate Health, Inc. is affiliated with Baystate Administrative Services, Inc. (BAS) which is a 501(c) (3) organization. Information Technology, Human Resources, Finance, Treasury, Accounting and other management and support functions are delegated to BAS.
Form 990, Part VI, Section A, line 7aTwo of the Trustees of the filing organization are required to be members of the Board of Directors of BWH, an affiliated organization, and their election is subject to approval by the Board of Directors of BWH.
Form 990, Part VI, Section B, line 11bPrior to the filing of this return appropriate parts of this Form 990 were reviewed by representatives from the Tax, Finance, and Human Resources Departments of Baystate Health, Inc.and by outside legal counsel. The entire return was reviewed by a tax expert from an outside accounting firm. The entire return was also reviewed prior to filing by the Audit and Compliance Committee of Baystate Health, Inc., which also includes some of the officers and trustees of the filing organization. This committee also reviews the audited financial statements for the health system. The Form 990 was provided to all members of the Board of Trustees prior to filing.
Form 990, Part VI, Section B, line 12cBaystate Health, Inc. and its affiliated entities have a comprehensive conflict of interest policy applicable to all of the affiliated entities. All directors, trustees, officers, key employees, and highest compensated employees of BH and its affiliates are asked to complete an annual "conflict of interest" form. We utilize an electronic database to receive and manage all conflict of interest submissions. This information is reviewed by the Chief Compliance Officer, Chief Executive Officer, Chair of the Board of Trustees, Chief General Counsel and the Chair of the Audit & Compliance Committee. A summary of the conflict of interest disclosures is provided to the Baystate Health Board of Trustees and the Tax Department. Potential conflict of interest transactions are reviewed as appropriate under the policy, which provides for recusal from discussion and deliberation by any party with a potential conflict of interest.
Form 990, Part VI, Section B, line 15The compensation of the President and CEO is reviewed and determined annually by the compensation committee of Baystate Health, Inc. This committee consists entirely of individuals serving on the board of the filing organization. The individuals responsible for deliberating the compensation arrangement for the President and CEO would be those individuals who do not have a conflict of interest with respect to the compensation arrangement and would be considered independent for compensation deliberation purposes. The compensation of the President and CEO is established based on information provided by independent third party consultants for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the duly authorized compensation committee. The compensation of other officers is administered under the Executive Compensation Philosophy Statement, in consultation with Human Resources, based on information provided by independent third party consultants for reasonableness including appropriate comparability data or the Baystate Health Board approved budget and wage program for each fiscal year. Line 15a has been answered No because the President and CEO is paid by Baystate Administrative Services, Inc., an affiliate and related organization of the filing organization.
Form 990, Part VI, Section C, line 19The organization makes its conflict of interest policy and financial statements available to the public at www.baystatehealth.org. Articles of organization and bylaws are generally available at the Commonwealth of Massachusetts website.
Form 990, Part VII, Section A, Line 5Certain officers or trustees of the filing organization are paid by an entity, Baystate Medical Practices, Inc. (BMP) EIN 04-2888373, which is part of the health care system to which the filing organization belongs but does not meet the technical requirements as a "Related Organization" per Schedule R. Compensation from BMP to the officers and trustees of the filing organization therefore, is reported as paid from an unrelated organization in Line 5 and according to the instructions reported as though paid by the filing organization.
Form 990, Part IX, line 11gConsulting Fees: Program service expenses 1,950,411. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,950,411. Claim History Fees: Program service expenses 7,032. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,032. Education Fees: Program service expenses 12,976. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,976. Accreditation & Licensing Fees: Program service expenses 0. Management and general expenses 49,159. Fundraising expenses 0. Total expenses 49,159.
Form 990, Part XI, line 9:Transfers from/to Affiliated Companies, Net 5,800,000. Property, Plant & Equipment Transfers -7,357,226. Equity Gain / (Loss) in Baycare -645,957. Equity Gain / (Loss) in Ingraham 26,139. Change in Interest of Net Assets of BHF 1,639,901. Premier Purchasing Partners, L.P. - Interest (incl in part VIII, ln 3D) -49,652. K-1 UBIT NET (GAIN) / LOSS 86,303. BHIC UBTI 366,283. TRR (net assets released from restrictions (BHF) 725,382. Beneficial Interest TRR in net assets from BHF -55,241.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Baystate Administrative Services Inc
759 Chestnut StreetSpringfieldMA01199222747685Administrative servicesMA501 (c ) (3)12c, IIIcBaystate Health IncYes (1)
Baystate Franklin Medical Center
164 High StreetGreenfieldMA01301042103575HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Health Foundation Inc
759 Chestnut StreetSpringfieldMA01199043549011FundraisingMA501 (c ) (3)7Baystate Health IncYes (1)
Baystate Health Systems Inc Health & Welfare Benefits Plan
759 Chestnut StreetSpringfieldMA01199222531644Voluntary Employees' Benefit AssociationMA501 (c ) (9)Baystate Health IncYes (1)
Baystate Medical Center Inc
759 Chestnut StreetSpringfieldMA01199042790311Acute Care Teaching HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Total Home Care Inc
280 Chestnut StreetSpringfieldMA01104203260764Real Estate and OtherMA501 (c ) (3)12b, IIBaystate Medical Center IncYes (1)
Baystate Wing Hospital Corporation
40 Wright StreetPalmerMA01069222519813HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Health New England Inc
Monarch Place Suite 1500SpringfieldMA011441500042864973HMO/InsuranceMA501 (c ) (4)Baystate Health IncYes (1)
HNE of Connecticut Inc
Monarch Place Suite 1500SpringfieldMA011441500455190134HMO/InsuranceCT501 (c ) (4)Health New England IncYes (1)
Visiting Nurse Assn and Hospice of Western New England Inc
50 Maple StreetSpringfieldMA01199042105803Home health and Hospice careMA501 (c ) (3)10Baystate Health IncYes (1)
Baystate Noble Hospital Corporation
115 West Silver Street PO Box 1634WestfieldMA010861634222537423HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Westfield Medical Corporation
115 West Silver Street PO Box 1634WestfieldMA010861634043127730Physician ServicesMA501 (c ) (3)12a, IBaystate Noble Hospital CorporationYes (1)
Noble Visiting Nurse Services Inc
77 Mill StreetWestfieldMA01085222757446Home Health Care and HospiceMA501 (c ) (3)10Visiting Nurse Assn and Hospice of Western New England IncYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (29 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtDirect Controlling NADirectControllingNACd
Baystate Health Insurance Company Ltd
North Church StreetGeorgetownCayman IslandsCJ980421413Offshore Captive InsuranceCJBaystate Health Inc1.00000Yes (1)
HNE Advisory Services Inc
043012347Administrative ServicesHealth New England IncYes (1)Monarch Place Suite 1500SpringfieldMA011441500MAC
HNE Holding Corporation
464620480Holding shares in subsidiary corporationsHealth New England IncYes (1)Monarch Place Suite 1500SpringfieldMA011441500MAC
HNE Insurance Services Corporation
043183019Ancillary InsuranceHealth New England IncYes (1)Monarch Place Suite 1500SpringfieldMA011441500MAC
HNE Insurance Company Inc
454462433Health Services for Mass Medicare Supplement MembersHealth New England IncYes (1)Monarch Place Suite 1500SpringfieldMA011441500MAC
Ingraham Corporation
043016257Health care and other business activitiesBaystate Health Inc1.00000Yes (1)759 Chestnut StreetSpringfieldMA01199MAC
Frances Lutolf BO Wesson Hosp
046019056Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Daniel Wesson TUW W Maternity
046019096Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Daniel Wesson TUW W Memorial
046019097Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Louise G Pease BO Baystate Med
046019113Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Gertrude Hibbard TUW W Mem
046019230Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Herbert Thresher UW W Hosp
046088132Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Tr UW H Dexter FB Wesson M
046018707Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Tr UW H Dexter FB Wesson W
046018708Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
L & F Tifft BO BSHS Tr UA
046046282Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
TW D B Wesson FB W M H
046018682Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
TW D B Wesson FB WWH
046018681Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Baystate Administrative Services Inc
D$93,242
Baystate Administrative Services Inc
M$1,923,160
Baystate Health Foundation Inc
B$65,000
Baystate Health Foundation Inc
M$449,000
Baystate Health Foundation Inc
S$537,707
Baystate Health Insurance Company Ltd
F$1,700,000
Baystate Health Insurance Company Ltd
P$3,370,637
Baystate Medical Center Inc
C$46,640,000
Baystate Medical Center Inc
K$277,197
Baystate Medical Center Inc
L$11,263,000
Baystate Medical Center Inc
M$1,169,404
Baystate Medical Center Inc
R$903,098
Baystate Franklin Medical Center
C$1,900,000
Health New England Inc
D$275,533
Ingraham Corporation
D$143,893
Visiting Nurse Assn and Hospice of Western New England Inc
B$102,000
Visiting Nurse Assn and Hospice of Western New England Inc
P$257,080
Baystate Wing Memorial Hospital Corporation
R$5,748,369
L & F Tifft BO BSHS Tr UA
A$93,080
Baystate Noble Hospital Corporation
B$1,000,000
Baystate Noble Hospital Corporation
D$116,910
Baystate Noble Hospital Corporation
R$155,939

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